Attending a continuing education class on advanced technology in health care is interpreted as which of the following by the nurse manager?

Correct Answer: D

Rationale: The correct answer is D: Essential to nursing care. Attending a continuing education class on advanced technology in health care is essential for nurses to stay updated with the latest advancements, improve patient care, and enhance their clinical skills. It helps nurses deliver high-quality care, adapt to changes in healthcare practices, and improve patient outcomes. The other choices are incorrect because continuing education benefits all healthcare professionals, not just nurse managers. It is not unimportant or a waste of time, as it directly impacts the quality of nursing care provided.

Correct Answer: C

Rationale: The correct answer is C. The unit director should follow the institution's formal process for reporting and handling practices that jeopardize patient safety when dealing with an incompetent employee. 1. Firstly, it is important to prioritize patient safety above all else. 2. By following the institution's formal process, the director ensures that the proper steps are taken to address the incompetence effectively. 3. This approach also promotes transparency and accountability within the organization. 4. It aligns with ethical principles of duty to care and responsibility for patient well-being. The other choices are incorrect: A: Tolerating incompetence is not an acceptable approach as it can compromise patient safety. B: Incompetence can have broader impacts beyond the individual nurse, such as affecting patient outcomes and overall team performance. D: While nurse practice acts may provide guidance, the institution's specific procedures should be followed to address incompetence effectively.

Correct Answer: B

Rationale: Step 1: Palpating the client's abdomen before auscultating bowel sounds is the correct technique during a physical assessment. This sequence is important because palpation can potentially disrupt bowel sounds, leading to inaccurate assessment results. Step 2: Palpation helps to identify any tenderness, masses, or abnormalities in the abdomen before proceeding to auscultate bowel sounds. This way, any abnormal findings during palpation can be correlated with bowel sound assessment. Step 3: By following this sequence, the nurse ensures a systematic and accurate assessment of the client's abdomen, which is crucial for detecting any gastrointestinal issues or abnormalities. In summary, option B is correct because it follows the appropriate sequence of assessment techniques, ensuring a thorough and accurate evaluation of the client's abdomen. Options A, C, and D are incorrect because they do not pertain to the correct sequence or technique for assessing the abdomen during a physical assessment.

Correct Answer: C

Rationale: The correct answer is C: Internal standards. Rationale: 1. Internal standards refer to criteria set by an organization based on its own goals and values. 2. Absolute judgment means evaluations are made against these internal standards. 3. By using internal standards, evaluations are consistent and aligned with organizational objectives. 4. External sources (A) and manager's personal opinion (D) are subjective and may not reflect organizational goals. 5. Manager and staff's perceived notion (B) may vary and lack consistency, unlike internal standards. Summary: Internal standards provide a consistent and objective basis for evaluations, ensuring alignment with organizational goals. External sources, personal opinions, and perceived notions lack this consistency and alignment.

Correct Answer: A

Rationale: Step-by-step rationale for why choice A is correct: 1. Careful assessment helps in understanding the client's condition and needs. 2. Documenting client status provides evidence of the care provided. 3. It ensures that necessary actions are taken promptly to prevent negligence. 4. Documentation serves as legal protection against false imprisonment accusations. Summary: - Choice B is about data security, not directly related to preventing negligence and false imprisonment. - Choice C focuses on accurate documentation but lacks the emphasis on assessment. - Choice D is vague and does not specifically address the legal aspects of negligence and false imprisonment.

Correct Answer: C

Rationale: The correct answer is C: Goal setting theory. This theory emphasizes setting specific, challenging goals to improve performance, focusing on long-range planning rather than immediate rewards. Goals provide direction and motivation, leading to increased effort and persistence. Equity theory (A) focuses on fairness in outcomes and inputs. Development (B) refers to personal growth and learning. Extinction (D) is a behaviorist concept related to the disappearance of a previously learned behavior due to lack of reinforcement.

Correct Answer: C

Rationale: The primary goal of evidence-based practice (EBP) is to enhance clinical decision-making. Evidence-based practice involves integrating the best available research evidence with clinical expertise and patient values to make informed decisions about patient care. By using evidence-based practice, healthcare providers can ensure that their decisions are based on the most current and relevant evidence, leading to improved patient outcomes. While reducing healthcare costs, improving patient outcomes, and ensuring patient safety are important aspects of healthcare, they are not the primary goal of evidence-based practice.

Correct Answer: C

Rationale: The correct answer is C: Patient autonomy. Patient-centered care emphasizes the importance of involving patients in their own healthcare decisions, respecting their preferences, values, and needs. This principle ensures that patients are active participants in their care, leading to improved health outcomes and patient satisfaction. Incorrect choices: A: Healthcare provider satisfaction - While important, patient-centered care focuses on the patient's experience and outcomes rather than the provider's satisfaction. B: Cost reduction - While costs are a consideration in healthcare delivery, patient-centered care prioritizes the patient's well-being over cost savings. D: Provider convenience - Patient-centered care does not prioritize provider convenience; instead, it prioritizes meeting the individual needs and preferences of the patient.

Correct Answer: C

Rationale: The correct answer is C because shared governance involves staff nurses and CNAs collaborating in decision-making processes, such as creating schedules. This promotes autonomy, teamwork, and mutual respect. Option A involves delegation, not shared decision-making. Option B shows centralized authority by nurse managers. Option D indicates hierarchical decision-making, not shared governance. In summary, choice C aligns with the principles of shared governance, while the other options do not involve the active involvement of both staff nurses and CNAs in decision-making.